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Develop a comprehensive organization and human resources strategic plan

Assignment 14 CT – 502 Critical Thinking: Organizational Change and Workforce Management Saudi Hospital System (SHS, a fictitious organization) has been facing many serious issues including leadership problems, staffing deficiencies, and financial hardship. Challenges include: · High staff turnover, which doubled to 20% in the past two years, is expected to rise. · SHS is in the process of implementing complex and expensive multi-year healthcare information systems such as Electronic Health Record and other critical-need clinical information systems. · SHS is facing significant competition from other local healthcare facilities. Last year, a new Chief Executive Officer (CEO) was hired. He identified the current organizational culture as apathetic, leaderless, and resistant to change. He also noted that the staff was under stress, resisting teamwork, accepting mediocrity, and compromising patient safety values and industry best practices. The CEO noted that critical human resources functions were broken and that financial performance was suffering. He attributed this to a variety of process issues as well as to the lack of focus on the core business of patient care. In response, he decided to implement the following strategies: · change the organizational culture · improve human resources and workforce practices and outcomes · ensure the organization’s solvency and financial viability in the long run · cut costs across the board, including implementing a labor-reduction strategy (salary and benefits), with an aggressive timeline to turn around the financial bottom line. Within a few months after these strategies were implemented, the SHS started to show less of a financial loss and seemed to stabilize financially. The morale of the staff, however, took a significant hit in the wrong direction. Staff turnover increased as the sense of job security decreased and as an increasing number of valued and critical staff in all areas left. Soon, SHS experienced an increase in patient complaints and lowered customer service, with signs of impact on clinical patient outcomes. Now the CEO wants to create a dynamic long-term organization and human resources strategic plan to put SHS on the right track. To formulate and implement this plan, the CEO hired a well-known consultant who is tasked with performing a system-wide organization and human resources assessment. Within the scope of this assessment is the development and formulation of a multilevel strategic program. This new program is to be implemented system-wide with the goal of helping SHS leaders to understand the link among finances, employee morale, human resources functions, and patient satisfaction. The end goal of this assessment is to create a culture of accountability; to shift the culture to one of services after two years; to attract, hire, and retain quality staff; and to implement best practices in workforce management. Assume that you are the consultant whom the CEO hired to do this assessment project. Your main task is to identify the key components involved in changing the organizational culture and to identify the steps needed to generate sustainable change. Here are the deliverables that the CEO wants to see from you: 1. Develop a comprehensive organization and human resources strategic plan. The plan has two major sections: Organization Development and Human Resources.  The CEO expects you to create your plan using benchmarking and by integrating human resources and organization development best practices from other healthcare organizations, as well as from other industries. 2. The Organization Development section will address the following items: · Workplace communication · Motivation · Conflict Management. 3. The Human Resources section will address the following items: · Organizational and human resources systems that need to be in place to effect positive organizational outcomes · Performance management system · Process of training and development and the contribution to the organization’s bottom line · Key action steps required to develop the plan. Your well-written paper should meet the following requirements: · Be 6-8 pages in length, not including the required cover and reference pages. · Formatted according to APA writing guidelines. · Provide support for your statements with in-text citations from a minimum of six scholarly articles from peer-reviewed journal articles. ]]>

How can the reported data be used to move policy forward for improving population health around this issue?

Screening for Disease Although many individuals and organizations may endorse the goal of screening programs, the details and implementation are often controversial. For some types of screening, it can be quite challenging to weigh the human and economic costs and benefits and determine a clear recommendation. For instance, in an article in the New England Journal of Medicine, Dr. Michael Barry (2009) indicates that “serial PSA [prostate-specific–antigen] screening has at best a modest effect on prostate-cancer mortality during the first decade of follow-up. This benefit comes at the cost of substantial over-diagnosis and overtreatment. It is important to remember that the key question is not whether PSA screening is effective but whether it does more good than harm.” This week’s Learning Resources include articles about screening programs for four different diseases that contain potentially controversial recommendations. For this Discussion, you will select a disease and examine the epidemiological evidence to assess a recommendation for screening guidelines. In addition, you will consider possibilities for furthering policy to promote population health related to this disease. To prepare:
  • Review      the four articles concerned with screening and public policy listed in      this week’s Learning Resources. All four articles contain potentially      controversial recommendations for screening and prevention (See attached      files for these articles).
  • Select      one article on which to focus for this Discussion.
  • Analyze      how the epidemiologic data could be used to formulate policy for improving      population health.
By tomorrow 04/17/2018 3pm, write a minimum of 550 words in APA format with at least 3 scholarly references from the list of required readings below. Include the level one headings as numbered below: Post a cohesive scholarly response that addresses the following: 1) Summarize the recommendations of your selected article. Discuss ethical considerations and whether or not you believe the recommendations are justified. 2) Describe the epidemiological evidence in support of your position. 3) Identify whether the screening program you review is population-based or high-risk based and how that influences your assessment. 4) How can the reported data be used to move policy forward for improving population health around this issue? Required Readings Friis, R. H., & Sellers, T. A. (2014). Epidemiology for public health practice (5th ed.). Sudbury, MA: Jones & Bartlett. Chapter 10, “Data Interpretation Issues” Chapter 11, “Screening for Disease in the Community” Chapter 11 examines aspects of screening for disease, including characteristics of a good screening test and how screening programs can be evaluated. Nash, D. B., Fabius, R. J., Skoufalos, A., Clarke, J. L. & Horowitz, M. R. (2016). Population health: Creating a culture of wellness (2nd ed). Burlington, MA: Jones & Bartlett Learning. Chapter 13, “Decision Support” This chapter addresses measurement and analysis tools used to support decision making for improvement, accountability, and research related to population health. The three main purposes of measurement in population health (improvement, accountability, research) provide the framework for this chapter. Note: You will need to review the following four articles to complete this week’s Discussion: (See attached file for the articles) U.S. Preventive Services Task Force. (2009). Screening for breast cancer. Retrieved from http://www.uspreventiveservicestaskforce.org/uspstf/uspsbrca.htm (See attached File). This is a summary of the controversial USPSTF proposal regarding screening for breast cancer using mammography and breast self-examination. It includes the recommendations, rationale, and evidence supporting the proposal. Alvarez, G. G., Gushulak, B., Rumman, K. A., Altpeter, E., Chemtob, D., Douglas, P., … & Ellis, E. (2011). A comparative examination of tuberculosis immigration medical screening programs from selected countries with high immigration and low tuberculosis incidence rates. BMC Public Health, 11(3). Retrieved from http://www.biomedcentral.com/1471-2334/11/3 (See attached File). This article examines tuberculosis screening practices among migrants from high-incidence countries to low-incidence countries. Consider the benefits and challenges of standardizing screening requirements at the global level. Creighton, P., Lew, J.-B., Clements, M., Smith, M., Howard, K., Dyer, S., Lord, S., & Canfell, K. (2010). Cervical cancer screening in Australia: Modelled evaluation of the impact of changing the recommended interval from two to three years. BMC Public Health, 10, 734–747 (See attached File). This article examines the cost benefits and health consequences of screening for cervical cancer every 3 years as opposed to every 2 years. Researchers summarize other studies that support this change as well. Hugosson, J., Carlsson, S., Aus, G., Bergdahl, S., Khatami, A., Lodding, P., & … Lilja, H. (2010). Mortality results from the Göteborg randomised population-based prostate-cancer screening trial. Lancet Oncology, 11(8), 725–732 (See attached File). Prostate cancer screening can result in the detection of other cancers that may “never present during the patient’s lifetime (over-diagnosis) and it results in unnecessary treatments that can damage men’s quality of life (over-treatment).” However, this research study also demonstrates how prostate cancer screening also can reduces mortality rates in some instances. HealthMap. (2007). Retrieved from http://www.healthmap.org/en This website tracks, maps, and describes current disease outbreaks around the world, along with sources of information about them. It provides a valuable picture of global public health issues. Association for Community Health Improvement. (2006). Planning, assessment, outcomes & evaluation resources. Retrieved from https://web.archive.org/web/20130709124030/http://www.communityhlth.org/communityhlth/resources/planning.html Required Media Laureate Education (Producer). (2012). Epidemiology and population health: Screening [Video file]. Baltimore, MD: Author. Note: The approximate length of this media piece is 8 minutes. In this week’s program, Dr. LaPorte discusses screening as it relates to epidemiology. Optional Resources Fields, M. M., & Chevlen, E. (2006). Screening for disease: Making evidence-based choices. Clinical Journal of Oncology Nursing, 10(1), 73–76. Strong, K., Wald, N., Miller, A., & Alwan, A. (2005). Current concepts in screening for noncommunicable disease: World Health Organization Consultation Group Report on methodology of noncommunicable disease screening. Journal of Medical Screening, 12(1), 12–19.
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    U.S.PreventiveServicesTaskForce.2009.Screeningforbreastcancer.pdf
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